C-1 esterase, berinert at UPMC McKeesport
1500 Fifth Avenue, Mckeesport, PA · UPMC · · NPI 104370353
$128.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$161.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$44.52 with UPMC Work Partners vs $409.78 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Work Partners | Workers Comp | $44.52 | ↓ -65% |
| UPMC Health Plan | Managed Medicaid | $47.90 | ↓ -63% |
| Aetna | Neighborhood Network | $55.87 | ↓ -57% |
| Aetna | Home Depot Employer Group | $60.70 | ↓ -53% |
| Aetna | EBR FI | $61.18 | ↓ -53% |
| Aetna | NBR ASO/FI | $61.98 | ↓ -52% |
| Cigna | New Business ASO | $61.98 | ↓ -52% |
| Aetna | EBR ASO | $64.40 | ↓ -50% |
| Cigna | Commercial | $64.40 | ↓ -50% |
| UPMC Health Plan | Managed Medicare | $70.31 | ↓ -45% |
| UPMC Health Plan | CHIP | $74.68 | ↓ -42% |
| Geisinger | Medicaid/CHIP | $75.86 | ↓ -41% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $75.86 | ↓ -41% |
| PA Health & Wellness | PA Medicaid HMO | $75.86 | ↓ -41% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $77.82 | ↓ -40% |
| Aetna of PA | Medicare | $79.65 | ↓ -38% |
| InterGroup | PPO | $80.50 | ↓ -38% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $81.16 | ↓ -37% |
| AmeriHealth Caritas | Medicare | $81.93 | ↓ -36% |
| Highmark Wholecare (prev Gateway) | Medicare | $81.93 | ↓ -36% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $81.93 | ↓ -36% |
| Aetna | Medicare | $83.45 | ↓ -35% |
| UPMC Health Plan | Commercial | $93.31 | ↓ -28% |
| Cigna Behavioral Health | Commercial | $96.60 | ↓ -25% |
| Coventry/First Health | Commercial | $112.70 | ↓ -13% |
| Private Health Care Systems | PPO | $128.80 | ↑ +0% |
| SelectCare | Commercial | $128.80 | ↑ +0% |
| Humana | Commercial | $136.85 | ↑ +6% |
| Highmark BCBS of PA | Managed Care - Social Mission | $303.54 | ↑ +136% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $305.97 | ↑ +138% |
| Highmark BCBS of PA | Managed Care | $406.53 | ↑ +216% |
| Highmark BCBS of PA | Commercial - Indemnity | $409.78 | ↑ +218% |
| Tricare | East Region | not published by hospital | — |
| US Family Health Plan | Tricare Prime | not published by hospital | — |
Visitor-reported prices
Comments
C-1 esterase, berinert at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $5,886.00 | $47.90 – $157.60 |
| UPMC Carlisle | Carlisle | $2,302.20 | $75.10 – $3,261.45 |
| UPMC Community Osteopathic | Harrisburg | $2,302.20 | $75.10 – $3,261.45 |
| UPMC East | Monroeville | $6,036.00 | $24.04 – $160.80 |
| UPMC Hanover | Hanover | $2,302.20 | $75.10 – $121.38 |
| UPMC Horizon-Greenville | Greenville | $6,103.20 | $47.90 – $142.35 |
| UPMC Jameson | New Castle | $6,093.60 | $47.90 – $94.83 |
| UPMC Lititz | Lititz | $2,302.20 | $75.10 – $121.38 |